fa تخصصي Special مقالات اصيل Original Article <p><strong>BACKGROUND</strong></p> <p>There are numerous methods to mold and shape cartilage grafts for use in rhinoplasty. Each technique has advantages and disadvantages. We are going to introduce a new method for cartilage shaping with long lasting effects confirmed by follow up examination and pathologic evaluation.</p> <p><strong>METHODS</strong></p> <p>Grated cartilage was used in 483 patients. For 89 cases, it was wrapped in fascia and in 394 patients, used as a filler per se or in contiguity with solid structural grafts. In 51 patients, the operation was primary rhinoplasty and 432 cases, underwent secondary rhinoplasty. Postoperatively, there was a mean follow up of 2.8 years. Graft viability, and capability to maintain almost original volume, and general durability were assessed.</p> <p><strong>RESULTS</strong></p> <p>Out of 483 patients, only 23 cases (4.7%) needed later correction. In 11 cases (2%), it was due to overcorrection and some minor imperfections. In the rest 12 cases (2%), there was a need for more augmentation probably due to some degree of graft resorption. Three cases of these 12 patients, were corrected by outpatient shaved cartilage injection.</p> <p><strong>CONCLUSION</strong></p> <p>According to the very low revision rate (less than 5%), we strongly recommend our grated cartilage graft for use in primary and secondary rhinoplasty. Our study showed that patient and surgeon`s satisfaction can be achieved with a high degree of confidence.</p> Autologous, Cartilage, Graft, Rhinoplasty 137 143 http://wjps.ir/browse.php?a_code=A-10-1-66&slc_lang=fa&sid=1 Ali Manafi 10031947532846003684 10031947532846003684 Yes Department of Plastic Surgery, Iran University of Medical Sciences, Tehran, Iran Ali Kaviani 10031947532846003685 10031947532846003685 No Department of Plastic Surgery, Shiraz University of Medical Sciences, Tehran, Iran Zahra Sadat Hamedi 10031947532846003686 10031947532846003686 No Department of Plastic Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran Afsaneh Rajabiani 10031947532846003687 10031947532846003687 No Department of Pathology, Tehran University of Medical Sciences, Tehran, Iran Navid Manafi 10031947532846003688 10031947532846003688 No Department of Plastic Surgery, Iran University of Medical Sciences, Tehran, Iran